ArticleBMC psychiatry2018
Prevalence and determinants of antepartum depressive and anxiety symptoms in expectant mothers and fathers: results from a perinatal psychiatric morbidity cohort study in the east and west coasts of Malaysia.
Article in BMC psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Prevalence of Perinatal Anxiety and Related Disorders in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis.JAMA network open · 2023Pooled it
- The Relationship Between Paternal and Maternal Depression During the Perinatal Period: A Systematic Review and Meta-Analysis.Frontiers in psychiatry · 2020Pooled it
- Trial
- Antenatal depression and associated obstetric and psychosocial factors among pregnant women attending the public health clinics in Malaysia.BMC pregnancy and childbirth · 2026Article
- Maternal mental health as a neglected dimension of primary health care systems responsiveness in low- and middle-income countries: a mixed methods cross-sectional study in Ghana.BMC health services research · 2026Article
- Barriers to treatment-seeking behaviors among pregnant women with depression: a national cross-sectional study in Indonesia.Korean journal of family medicine · 2026Article
- Association of depression, anxiety, and insomnia in hypertensive disorders in pregnant women.World journal of psychiatry · 2026Article
- Prevalence and risk factors of antenatal depression in Ghana: a systematic review with meta-analysis protocol.BMJ open · 2025Article
- Investigating the Prevalence and Associated Factors of Anxiety and Depressive Symptoms Among Pregnant Women in Bangladesh: A Hospital-Based Cross-Sectional Study.Health science reports · 2025Article
- Screening Measures of Perinatal Mental Health and Wellbeing in Fathers: A Scoping Review.International journal of environmental research and public health · 2025Article
- Prevalence of antenatal depression and its association with adverse childhood experiences: a cross- sectional study at Hospital Canselor Tuanku Muhriz, Kuala Lumpur.Frontiers in psychiatry · 2025Article
- Prevalence and influencing factors of perinatal depression across different stages of pregnancy and postpartum: a cross-sectional study in China.Frontiers in public health · 2025Article
- Father involvement is a protective factor for maternal mental health in Western Kenya.SSM. Mental health · 2024Article
- Efficacy of Magnesium Sulfate and Labetalol in the Treatment of Pregnancy-Induced Hypertension and Its Effect on Anxiety and Depression: A Retrospective Cohort Study.Alpha psychiatry · 2024Article
- Fathers' mental health and coping strategies: a qualitative study in Mwanza, Tanzania.BMJ open · 2024Article
- Prevalence and determinants of antenatal depression and its association with intimate partner violence: a cross-sectional study at Hospital Melaka, Malaysia.Frontiers in psychiatry · 2024Article
- Maternal Depression during Pregnancy and Postpartum Period among the Association of Southeast Asian Nations (ASEAN) Countries: A Scoping Review.International journal of environmental research and public health · 2023Article
- Impact of the COVID-19 pandemic on depression during pregnancy: a cross-sectional study.Korean journal of women health nursing · 2023Article
- Perinatal mental health in Malaysia: understanding the treatment gap and recommendations for the future.BJPsych international · 2023Review
- Epidemiological profile of perinatal mental disorders at a tertiary hospital in Yaoundé- Cameroon.Frontiers in global women's health · 2023Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResearch on antepartum psychiatric morbidities investigating depressive and anxiety symptoms in expectant mothers and fathers is lacking in low- and middle-income countries. This study aimed to estimate the prevalence of antepartum depressive, anxiety and co-occurring significant symptoms and explore the associated factors in a cross-section of Malaysian expectant mothers and fathers.
methodsWe used cross-sectional data from a prospective cohort study of 911 expectant mothers and 587 expectant fathers during their third trimester of pregnancy, from health clinics of two states in the east and west coasts of Malaysia. The validated Malay version of Edinburgh Postnatal Depression Scale and the anxiety sub-scale of Depression, Anxiety and Stress Scale were used to measure the depressive and anxiety symptoms. Multiple logistic regression analyses identified the determinants of antepartum depressive and anxiety symptoms (ADS and AAS).
resultsPrevalence of ADS was 12.2% in expectant mothers and 8.4% in expectant fathers, while AAS was 28.8% in expectant mothers and 13.3% in expectant fathers, and co-occurring significant symptoms was 8.0% in expectant mothers and 4.0% in expectant fathers. Expectant mothers and fathers having perceived social/family support were less likely to suffer from ADS. Intimate partner violence, poor relationship with husbands, depression in earlier pregnancy and husband's depression in current pregnancy in expectant mothers, and living in rented house, sex preference for the unborn child, stressful life events and wife's depression in current pregnancy in expectant fathers were associated with a greater likelihood of ADS. The determinants for AAS were living in rented house and with parents/in-laws, poor relationship with husbands, restrictions during pregnancy and stressful life events for expectant mothers, and stressful life events and being unsupportive towards wives in household chores for expectant fathers.
conclusionBoth ADS and AAS are prevalent in expectant mothers and fathers, and largely an undetected problem in Malaysia. Administration of couple-based screening and referral program during antenatal check-up should be universal practices to identify and treat the psychiatric morbidities.
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